| Michelle Bento Lavall, Dmd | |
|
164 Walnut St Fall River MA 02720-2418 | |
| (508) 679-2906 | |
| Not Available |
| Full Name | Michelle Bento Lavall, Dmd |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 164 Walnut St, Fall River, Massachusetts |
| Authorized Official Name and Position | Kathy Syde (MANAGER) |
| Authorized Official Contact | 5086792906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Bento Lavall, Dmd 164 Walnut St Fall River MA 02720-2418 Ph: (508) 679-2906 | Michelle Bento Lavall, Dmd 164 Walnut St Fall River MA 02720-2418 Ph: (508) 679-2906 |
| NPI Number | 1316111974 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316111974 | NPI | - | NPPES |
| 11711 | Other | MA | BLUE CROSS |
| 8517-3 | Other | RI | BLUE CROSS OF RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 19261 (Massachusetts) | Primary |
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